0825-6193006.

Shehong Municipal Medical Insurance Bureau Functions Introduction:

1. Implementing the national, provincial, municipal and county laws and regulations, planning, standards and policies related to basic medical insurance, maternity insurance, medical assistance and other medical insurance, and organizing the implementation, supervision and inspection.

2. To implement the supervision and management system of the medical insurance fund at the higher level. To establish and improve the safety and control mechanism of the medical insurance fund, supervise and strengthen the operation and management of the medical insurance fund in the county.

3. Organize the implementation of medical insurance financing and treatment policies, and establish and improve the treatment adjustment mechanism in line with the level of financing. Organize the implementation of long-term care insurance system reform. Organize the implementation of medical assistance.

4. To implement the policies on the prices of drugs, medical consumables and medical service items and charges for medical service facilities at the higher level, to put forward proposals on the reasonable determination and dynamic adjustment of the prices of medical services paid for by the medical insurance, to promote the establishment of a market-led mechanism for the formation of prices of social medical services, and to establish a system for monitoring and releasing information on prices.

5. Responsible for the implementation and supervision of the county's bidding and purchasing of drugs and medical consumables.

6. Promote the reform of the payment method of the medical insurance fund, formulate the agreement and payment management method of the county's designated medical institutions and organize the implementation, and guide the management of the county's designated medical insurance institutions. It establishes and improves the medical insurance credit evaluation system and information disclosure system, supervises and manages the medical service behaviors and medical expenses included in the scope of medical insurance, and investigates and deals with the illegal and irregular behaviors in the field of medical insurance according to the law.

7. Responsible for the county's medical insurance management and public **** service system. Responsible for urban and rural residents, urban workers basic medical insurance, maternity insurance and medical assistance in the handling of service work, responsible for the transfer of medical insurance relations to continue the liquidation work. Carry out foreign cooperation and exchanges in the field of medical insurance.

8. Responsible for the county's medical insurance information construction. Organize and carry out the management and application of medical insurance big data.

9. Responsible for production safety and occupational health, ecological and environmental protection, and facilitation of examination and approval services within the scope of responsibilities.

10. Complete other tasks assigned by the county party committee and the county government.

11. Functional transformation. Improve the unified basic medical insurance system for urban and rural residents and the major disease insurance system, and constantly improve the level of medical protection. It is responsible for establishing and improving a multi-level medical insurance system that covers all people and is coordinated between urban and rural areas, and for the rational use of medical insurance funds in a safe and controllable manner.

Promoting the reform of medical care, medical insurance, and medicine to better protect the people's medical needs and reduce the burden of medical costs.

12. The division of responsibilities.

(1) and the county health bureau of the relevant division of responsibilities. The two departments in the medical, health insurance, medicine and other aspects of strengthening the system, policy convergence, the establishment of communication and consultation mechanism, synergistic promotion of reform, improve the efficiency of the use of medical resources and the level of medical protection.

(2) and the county market supervision bureau of the relevant division of responsibilities. The county medical insurance bureau is responsible for the price management of drugs and medical services, the county market supervision bureau is responsible for the price supervision and inspection of other products.